CN105007849A - Twist-drivable pin assembly - Google Patents

Twist-drivable pin assembly Download PDF

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Publication number
CN105007849A
CN105007849A CN201380066032.5A CN201380066032A CN105007849A CN 105007849 A CN105007849 A CN 105007849A CN 201380066032 A CN201380066032 A CN 201380066032A CN 105007849 A CN105007849 A CN 105007849A
Authority
CN
China
Prior art keywords
driver
drive pin
bore hole
pin
labelling
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201380066032.5A
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Chinese (zh)
Other versions
CN105007849B (en
Inventor
J.奥格
P.坎农
J.李
D.杨
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DePuy Ireland ULC
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DePuy Ireland ULC
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Publication date
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Publication of CN105007849A publication Critical patent/CN105007849A/en
Application granted granted Critical
Publication of CN105007849B publication Critical patent/CN105007849B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/8605Heads, i.e. proximal ends projecting from bone
    • A61B17/861Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver
    • A61B17/8615Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver at the central region of the screw head
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8875Screwdrivers, spanners or wrenches
    • A61B17/8877Screwdrivers, spanners or wrenches characterised by the cross-section of the driver bit
    • A61B17/888Screwdrivers, spanners or wrenches characterised by the cross-section of the driver bit the driver bit acting on the central region of the screw head
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B25HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25BTOOLS OR BENCH DEVICES NOT OTHERWISE PROVIDED FOR, FOR FASTENING, CONNECTING, DISENGAGING OR HOLDING
    • B25B15/00Screwdrivers
    • B25B15/001Screwdrivers characterised by material or shape of the tool bit
    • B25B15/004Screwdrivers characterised by material or shape of the tool bit characterised by cross-section
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16BDEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
    • F16B23/00Specially shaped nuts or heads of bolts or screws for rotations by a tool
    • F16B23/0007Specially shaped nuts or heads of bolts or screws for rotations by a tool characterised by the shape of the recess or the protrusion engaging the tool
    • F16B23/003Specially shaped nuts or heads of bolts or screws for rotations by a tool characterised by the shape of the recess or the protrusion engaging the tool star-shaped or multi-lobular, e.g. Torx-type, twelve-point star
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8875Screwdrivers, spanners or wrenches
    • A61B17/8877Screwdrivers, spanners or wrenches characterised by the cross-section of the driver bit
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90Identification means for patients or instruments, e.g. tags
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B25HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25BTOOLS OR BENCH DEVICES NOT OTHERWISE PROVIDED FOR, FOR FASTENING, CONNECTING, DISENGAGING OR HOLDING
    • B25B15/00Screwdrivers
    • B25B15/001Screwdrivers characterised by material or shape of the tool bit
    • B25B15/004Screwdrivers characterised by material or shape of the tool bit characterised by cross-section
    • B25B15/005Screwdrivers characterised by material or shape of the tool bit characterised by cross-section with cross- or star-shaped cross-section
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B25HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25BTOOLS OR BENCH DEVICES NOT OTHERWISE PROVIDED FOR, FOR FASTENING, CONNECTING, DISENGAGING OR HOLDING
    • B25B15/00Screwdrivers
    • B25B15/001Screwdrivers characterised by material or shape of the tool bit
    • B25B15/004Screwdrivers characterised by material or shape of the tool bit characterised by cross-section
    • B25B15/007Screwdrivers characterised by material or shape of the tool bit characterised by cross-section with blade of flat or substantially flat cross-section
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B25HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25BTOOLS OR BENCH DEVICES NOT OTHERWISE PROVIDED FOR, FOR FASTENING, CONNECTING, DISENGAGING OR HOLDING
    • B25B15/00Screwdrivers
    • B25B15/001Screwdrivers characterised by material or shape of the tool bit
    • B25B15/004Screwdrivers characterised by material or shape of the tool bit characterised by cross-section
    • B25B15/008Allen-type keys
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16BDEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
    • F16B23/00Specially shaped nuts or heads of bolts or screws for rotations by a tool
    • F16B23/0007Specially shaped nuts or heads of bolts or screws for rotations by a tool characterised by the shape of the recess or the protrusion engaging the tool
    • F16B23/0038Specially shaped nuts or heads of bolts or screws for rotations by a tool characterised by the shape of the recess or the protrusion engaging the tool substantially prismatic with up to six edges, e.g. triangular, square, pentagonal, Allen-type cross-sections

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Engineering & Computer Science (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Mechanical Engineering (AREA)
  • Neurology (AREA)
  • Surgical Instruments (AREA)
  • Dental Prosthetics (AREA)
  • User Interface Of Digital Computer (AREA)
  • Prostheses (AREA)

Abstract

A twist-drivable pin assembly includes first and second drivers, each having a driving end (2) which can be received in a bore (104) in the end of a twist-drivable pin, and an opposite end at which torque can be applied. The cross-sectional shape of each of the drivers at its driving end has a first plurality of apexes (18) whose relative locations coincide with the apexes of a regular polygon such as a hexagon. The drivers differ from one another in their cross-sectional shapes at the driving end by virtue of one or more faces of at least one of the drivers between adjacent pairs of apexes having a groove (20) formed in it. Each of first and second twist-drivable pins has a bore (64) extending into it which is defined by a second plurality of apexes arranged as a regular polygon such as a hexagon and which is open at one end. The number of apexes of the second plurality is equal to the number of apexes of the first plurality. The first and second pins differ from one another by virtue of markings associated with the open ends of the polygonal bores. The shape defined by the markings corresponds to the cross-sectional shape of a corresponding one of the first and second drivers.

Description

One can reverse drive pin assembly
The present invention relates to one and can reverse drive pin assembly, it is included in a reeded pin of end tool, and in this groove, the end of driver can be received to reverse pin.Described pin can be securing member.Described pin can be the spindle unit of apparatus or other devices.
Usually preferably, the groove in an end of the pin of reception driver end, through molding, makes driver end fit tightly in described groove.The example usually adopted comprises the slit in the end of the securing members such as such as screw, and it receives the flat blade of actuator tool, or cross slit, and it receives the cross end of actuator tool.
Use end is hexagonal actuator tool and the advantage that its end is received in the hexagonal indentations (or bore hole) of pin is that multiple summit provides the effective torque transmission from instrument to pin.In addition, compared with the screw utilizing flat blade or cross leaf screwdriver to drive, this instrument can be received in a groove more securely.This means, cause the probability of damage can reduce by driver end to substrate because driver departs from pin.
It is appreciated that to for distinguishing reversing the driver that driving is imparted to corresponding pin (such as corresponding fastener drive being entered in substrate), more particularly for select to be suitable for specifically sell with the use of driver provide convenient.This quasi-driver may in some aspects (such as, size) different from each other.Such as, when driver has polygon (such as, hexagon) drive end time, the lateral dimension of a driver is (when number of vertex is even number, record between the line of the relative second pair of adjacent vertex of the line of connection first pair of adjacent vertex and connection and the first pair of adjacent vertex) may be different with the lateral dimension of another driver, and be intended to from the polygon bore hole with different lateral dimension with the use of.Whether no matter different dimensionally, driver can be upper different from each other in other features such as (such as, ultimate torque setting).
The invention provides one and can reverse drive pin assembly, wherein each drive head has the shape of cross section limited by the summit of multiple regular arrangement at its drive end, described shape of cross section because of at least one in driver adjacent vertex between one or more in be formed with groove and different from each other, and the described drive pin that reverses has the labelling be connected with the opening of polygon driver bore hole, the shape of described driver bore hole is corresponding to the shape of cross section of the driver be intended to for drive pin.
Therefore, the invention provides one and can reverse drive pin assembly, it comprises:
A. the first driver and the second driver, wherein each has the drive end in the bore hole that can be received in and can reverse in drive pin end, and the opposite end of moment of torsion can be applied thereon, each in driver has multiple first summit at the shape of cross section of its drive end, the relative position on described summit overlaps with the summit of regular polygon, the adjacent vertex of described driver at least one in the shape of cross section of drive end is because of driver between one or more in be formed with groove and different from each other
B. first can reverse drive pin and second and can reverse drive pin, each has the bore hole extended to wherein, described bore hole is limited by multiple second summits being arranged to regular polygon and at an end opening, described opening can receive at least one in driver, the quantity on multiple second summit is equal with the quantity on multiple first summit, first pin and second sell because of sell with first and second sell in the labelling that is connected of the opening of polygon bore hole of at least one and different from each other, the shape wherein limited by described labelling corresponds to the shape of cross section of corresponding one in the first driver and the second driver.
The advantage reversing drive pin assembly of the present invention is, user can provide the vision for the driver that will be used for the pin reversed selected by driving to indicate with the described labelling reversed on drive pin.Vice versa.The present invention uses image instruction when forming shape, to identify corresponding reversed drive pin and driver.Specifically, in the described bodies labelling that now cross section of (a) driver and (b) and the opening of the bore hole in securing member each are connected.This has the advantage that person easy to use distinguishes.The shape of cross section of driver can distinguish from a series of different angles: described shape can distinguish when the position consistent with actuator axis is observed from end undoubtedly, but also can distinguishing from during unilateral observation.Preferably, the groove making driver different from each other formed in each of driver extends to the drive end of driver.This is conducive to distinguishing driver shape of cross section, because described shape of cross section corresponds to the shape of driver end face.Therefore, described shape of cross section can be seen in the view (can be oblique view) of driver comprising end face.Then the identification of driver or pin carrys out oral presenting by describing its shape.Such as, driver can be described to " hex drive device " or " star driver ".When user be furnished with assistant and rely on assistant by instrument (or apparatus) or pin (such as securing member) pass user, such as in situations in the surgery room when surgeon requires that instrument or pin are passed him by assistant, this can be an important advantage.
When generating the drive end of basic polygonal structure of driver, such as groove can be formed in the drive by casting or extruding or impress or cut.After the drive end of basic polygonal structure generating driver, form groove in the drive by particular step, such as, step by cutting out groove in the face of driver forms groove in the drive.
Usually preferably, the number of vertex on driver drives end is six.Then the bore hole in pin also has six summits usually.This type of driver reversed in drive pin assembly of the present invention has the hexagonal array of six summit compositions, makes the drive end of driver can be received in the hexagon bore hole of pin, so that moment of torsion is imparted to pin.This means, although the shape coding of the driver shape tag corresponded on pin contributes to user and selects particularly suitable driver that moment of torsion is imparted to pin, shape of cross section can be used to be that pin drives and removes in substrate or from substrate by orthohexagonal polygon driver.
Preferably, the number of vertex on driver drives end is six.For some application, the number of vertex that driver drives end has can not be six.Such as, the number of vertex limited by driver drives end can be three or four or five or seven or eight.Preferably, number of vertex is at least four.Preferably, number of vertex, for being no more than ten, is particularly no more than eight.For some application, preferably number of vertex is even number.
The described drive pin that reverses can be securing member.To be screw in a lot of situation of described securing member and will external screw thread be had.The design of described screw thread will depend on the application that will use screw.Described screw can be intended to for orthopaedic implants is fastened to bone.Then described screw can have the screw thread of the feature as bone screw.Described screw may be used for two metal parts to be fastened to together, and the one in wherein said parts has female thread.Then screw thread on described screw such as can have the feature of mechanical screw.This type of screw thread is known.The length of securing member is by according to its application will be used to select, the same with existing conventional fasteners.Also can use other threaded fasteners, such as, be with female nut form securing member.
Described securing member can be bayonet type securing member.
Securing member contained in assembly of the present invention may be used for multiple application.These application can comprise such as engineering, building, handicraft etc.Described securing member may be used for surgical operation application, particularly plastic surgery operations.Such as, described securing member can be used for joint prosthesis component to be fixed on appropriate location.They may be used for fixation implant in bone splits treatment.This type of implant can comprise the hone lamella be directly or indirectly arranged on bone outer surface, and the pin be arranged in the medullary cavity in bone and nail.An advantage of the present invention is, the driver that described securing member can use simple polygon driver (such as, hex drive device) instead of be provided with one or more groove on one or more removes.This eliminate and find the needs that actuator head has the driver of certain cross sectional, because if when after considerable time having to securing member to remove in parts patients with implantation body, this quasi-driver may non-availability.Therefore be understandable that, the feature structure of the shape of cross section of described driver and securing member or other can reverse the marker characteristic structure that drive pin is shaped and contribute to identifying the driver for driving the pin with simple polygon bore hole, but do not get rid of and use drive end to have the driver of simple polygon shape of cross section to drive described pin.
Reversed drive pin for assembly of the present invention can be the spindle unit of apparatus or device.Described axle can be formed with bore hole an end, and described bore hole can receive the drive end of driver, thus axle is rotated.Described axle can rotate with adjustment devices or device.Such as, the rotation of described axle can make the tension change on the parts of apparatus or device.The rotation of described axle can make breech lock open or close.The rotation of described axle can make another parts of apparatus or device move in the mode of rotation or translation.This type of moves and can relate to intermeshing gear, or tooth bar and pinion assemblies.Described apparatus or device can be measuring apparatuss.Reversed driving shaft in this type of apparatus known has the knob that can be clamped by user, to make axle rotate.The invention provides the rotating control assembly of described axle, make except the suitably compatible driver of non-usage, otherwise axle does not rotate.The length of the pin of the spindle unit form of apparatus or device will depend on the function of described spindle unit.Described spindle unit should have suitable length, performing expectation function.In a lot of situation, described spindle unit is fixed on appropriate location by being formed in the apparatus of a part or the shell of device at it, make its can shell transfer dynamic and under normal operation (except such as dismantling to carry out except cleaning) can not shell be departed from.For spindle unit being fixed on appropriate location to make its rotary technology well known, and may comprise such as with circlip or the flat head screw of groove engagement, described groove is around the extension at least partially of spindle unit girth.
Comprise the apparatus that can reverse drive shaft sub-assembly or device can be for operating apparatus.Such as it goes for plastic surgery operations.Described apparatus can be used for measuring the spacing between such as skeletal size or two pieces of bones, the suitable dimension of the implantation parts that should use to be identified as coupling patient anatomy.Described apparatus can be used for making to receive the bone implanting parts and gets ready.
The present invention also provides and is used in operating external member, described external member comprises orthopaedic implants, described orthopaedic implants is formed with at least one bore hole wherein for reception securing member, and reverse drive pin assembly according to of the present invention, particularly wherein said securing member is the assembly of pin (such as, screw or other torsions drive securing member).
The drive end of the driver in assembly of the present invention can have groove in a face.It can form groove in a more than face.The various combination of the layout of groove produces has difform driver, and driver can distinguishable from one anotherly be come.Described groove should extend preferably to the driver end in the bore hole inserted in pin.This means, the shape of driver can identify by observing driver end along the axle of driver.
Optionally, the length of each groove is at least about 3mm, or is at least about 4mm, or is at least about 5mm.Optionally, the ratio of the lateral dimension of described trench length and hex drive end (recording connecting between the right straight line in relative summit) is at least about 1.0, or is at least about 1.2, or is at least about 1.5.Longer groove can be conducive to the identification of driver.
Optionally, the degree of depth of each groove is at least about 1mm, or is at least about 2mm, or is at least about 5mm.Optionally, the ratio of the lateral dimension (when number of vertex is even number, recording between the straight line that the summit that connection is relative is right) of described gash depth and polygon (such as, hexagon) drive end is at least about 0.05, or be at least about 0.1, or be at least about 0.15.Darker groove can be conducive to the identification of driver.Optionally, the ratio of the lateral dimension of gash depth and polygon drive end is no more than about 0.25, or is no more than about 0.2.
When driver has six faces and each face in six faces between adjacent vertex is provided with groove, hexagram outward appearance will be had from driver during cross-sectional view.This quasi-driver can be similar to the commercially available driver of selling with trade mark Torx.
When driver has six faces and the quantity wherein arranging fluted driver surface is 2,3 or 4, described driver can be designed to have different channel layout.Such as, when the quantity of grooved surface is two, grooved surface can be arranged to (position 1,2) adjacent one another are, or is separated (being respectively position 1,3 and position 1,4) by one or two face.When the quantity of grooved surface is four, the face not outputing groove can be arranged to (position 1,2) adjacent one another are, or is separated (being respectively position 1,3 and position 1,4) by one or two face.
When driver has six faces and the quantity wherein arranging the face of fluted driver is three, grooved surface can be alternate face (position 1,3,5), makes adjacent groove become the angle of 120 ° in the axle place subtend of driver.
Preferably, in two faces of driver or three faces with six faces, groove is set, because this axle uniform intervals making grooved surface can be arranged to around driver is opened.This can provide the outward appearance being easier to distinguish.
It should be noted that, the quantity of grooved surface and can not affect the ability that driver is coupled to the bore hole that can reverse in drive pin around the layout of shaft drive axis itself, making only to be set up two different drivers in the quantity of grooved surface and cloth can use interchangeably in selected pin.The ability on the summit that the groove on the face of driver should make the joint capacity on summit and the moment of torsion of applying is delivered to the bore hole limited in pin can not be impaired to such degree: namely required moment of torsion can not be imparted to pin by driver, such as, screw fastener can not be driven in substrate.
In first pin and the second pin, each or the labelling wherein in one provide by the groove of the lower face of the pin around bore hole opening.This type of groove can be formed during the manufacture of pin, such as, as a part for the forming process of the bore hole in pin.Therefore described groove is by such as cutting, impressing, extrude and the technique such as milling is formed.The advantage of the labelling provided by the groove of the lower face of pin is, they are easier to user and distinguish, even if under the poor condition of light, or is also like this under pin is in the environment that liquid exists.
In addition, the labelling provided by the groove of the lower face of pin can contribute to presenting such outward appearance: the bore hole namely in pin has the shape of cross section (such as, when the shape of cross section of described bore hole is actually polygon, during hexagon) of the shape of cross section corresponding to groove.This can be helpful to user in the process selecting the driver being used for pin.
Labelling in pin at least one can limit the shape of the shape being different from bore hole in this pin.Such as, the labelling in pin in one can have the shape of regular polygon, and its summit quantity is identical with the quantity of bore hole in pin, and the labelling in pin in another one can have polygonal shape, wherein in polygonal one side or the multi-lateral, is formed with groove.Also it is contemplated that, the labelling of the first pin can have polygonal shape, wherein in polygonal one side or the multi-lateral, be formed with groove, and the second pin also can have polygonal shape, wherein in polygonal one side or the multi-lateral, be formed with groove, the channel patterns in the first pin is different from the channel patterns in the second pin.In this arrangement, in the first pin the shape of bore hole sell with second in the shape of bore hole identical, namely there is the regular polygon of same vertices quantity.As discussed elsewhere herein, in the first pin the lateral dimension of bore hole can sell with second in the lateral dimension of bore hole identical.In first pin the lateral dimension of bore hole also can sell from second in the lateral dimension of bore hole different.First pin and second pin can basis can receive driver bore hole size outside other characteristic aspect different from each other, such as, according to ultimate torque setting aspect.
First can reverse drive pin and second can to reverse in drive pin each or labelling wherein in one by being formed from the surperficial removing materials of the pin around bore hole opening after forming bore hole.This can be preferred, because can allow like this to be distinguished pin within the scope of small lot.The technology that can be used for being formed labelling can comprise such as to be carved and etches.Cutting tool can be used to perform engraving.Also laser can be used to perform engraving.Etching can adopt suitable etching material to perform.The selection removing technology will depend on the factor such as shape and the degree of depth comprising labelling to be formed on pin material, pin.
Drive pin can be reversed usually be made of metal (but also can use other materials, such as polymeric material and ceramic material).Being usually used in preparing reversing drives the metal of securing member or other pins to know.The example be intended to for the suitable material of the securing member in surgical operation (such as plastic surgery operations) comprises certain rustless steel and titanium alloy.
Can preferably, the mark depths of the reversed drive pin lower face around bore hole is at least about 0.2mm, such as, at least about 0.3mm, or at least about 0.5mm, or at least about 0.7mm, or at least about 1.0mm.Labelling should be enough dark, and user can clearly be observed.Labelling can also form a kind of eye impression, can reverse in drive pin and correspond to the shape that limits of labelling for the shape receiving the bore hole of driver.Labelling can have the inhomogenous degree of depth, makes it present texture.The contrast between labelling and the peripheral region that can reverse drive pin surface can be strengthened like this.The degree of depth of the labelling limited by textured ones can be less, and this is the contrast strengthen because veining causes.Contrast between labelling and the peripheral region that can reverse drive pin surface can by introducing dyestuff or other contrast medium are enhanced in marked region.This can carry out when forming labelling, such as, as a part for laser labelling or etch process.
Can preferably, the mark depths of the lower face of the reversed drive pin around bore hole is no more than about 5.0mm, such as, be no more than about 3.5mm, or is no more than about 2.0mm.In some applications, mark depths can be no more than about 1.0mm.When the size can reversing drive pin is less, shallow labelling may be applicable.Can preferably, the degree of depth of labelling is less than the degree of depth of bore hole in pin, and can identify when checking pin in pin to make people to receive has driver whether to apply the bore hole of moment of torsion for polygon to pin.When such as removing securing member from substrate, this point may be very important.After this may appear at the significant period of time that securing member uses at first.Such as, when securing member is used for surgical operation application, particularly (such as tightening implants, the such as osteocomma of patients with implantation skeleton) during plastic surgery operations, surgeon may remove this securing member after initial implantation a period of time.This can be such as after several months or several years.At the end of this can be the treatment under the initial condition of disposing securing member.This can as a part for the continual cure of initial therapy.This can fill treats perhaps under other conditions.May it is appreciated that although the labelling on securing member can be visible, surgeon should identify the driver being applicable to remove securing member and whether have polygon, particularly hexagonal cross section.
Labelling is arranged on the reversed drive pin in the region around polygon bore hole opening, the outside of the adjacent vertex that the straight line that described labelling is radially positioned at bore hole connects.
The driver shape of cross section of the shape and correspondence that can reverse labelling on drive pin can be used for distinguishing the device feature of different size.Such as, securing member or other can reverse drive pin and can have similar but that size is different bore hole.In an object lesson, the hexagon bore size of the first pin can be 6mm (recording between opposite face), and the hexagon bore size of the second pin can be 6.5mm.When the bore hole sold in assembly has similar size, may be difficult to the size by visual inspection bore hole identification pin, be also like this by visual inspection drive end identification driver size.By providing groove at Driving plane and providing corresponding labelling and form unique shape of cross section can contribute to distinguishing various sizes on drive end on pin.
The driver shape of cross section of the shape and correspondence that can reverse labelling on drive pin can be used for distinguishing the pin of different length.
Optionally, the lateral dimension of the polygon drive end of the first driver (when number of vertex is even number, records between the line of the line of connection first pair of adjacent vertex and connection second pair of adjacent vertex relative with the first pair of adjacent vertex; Or when number of vertex is odd number, record between the line of a pair adjacent vertex relative with the first summit from connection on the first summit) different with the lateral dimension of the polygon drive end of the second driver.
Usually, the lateral dimension that can reverse the polygon bore hole of drive pin (when number of vertex is even number, records between the line of the line of connection first pair of adjacent vertex and connection second pair of adjacent vertex relative with the first pair of adjacent vertex; Or when number of vertex is odd number, record between the line of a pair adjacent vertex relative with the first summit with connection on the first summit) be at least about 1.0mm, optionally at least about 1.5mm, or at least about 2.0mm.For less size, the advantage of the present invention in the range estimation identification of character shape decreases.
Shape and the corresponding driver shape of cross section that can reverse labelling on drive pin can be used for distinguishing the pin that can bear different peak torque.
The shape of labelling on drive pin can be reversed and can be used for distinguishing the different driving device be ready to use in certain working procedure.For example, it is possible that the driver be ready to use in a step of a certain operation has the first design, and the driver be ready to use in another step of a certain operation has the second design.These designs can be different from each other in any one in multiple feature, such as shank structure, driving mechanism etc.Labelling on pin can help user identification to be suitable for moment of torsion to be imparted to the driver of this pin.
Assembly of the present invention can comprise the driver more than two, and wherein driver is distinguished each other by the difference layout of the groove in polygon facet.This assembly also can comprise the pin more than two, and described pin is distinguished each other by the not isolabeling be connected with bore hole opening in pin.
Driver in assembly of the present invention can be drive head, its with another drive unit that can be used for applying moment of torsion to the selected drive head selected with the use of.Such as, drive head can with driver shank with the use of.The suitable constructions of shank can be the shank with pod, and this pod is for receiving one end relative with the drive end of drive head in drive head.Shank can comprise the mechanism being used to indicate the torque value selected by applying to pin.Shank can comprise ratchet mechanism, and it fills perhaps shank back rotation in a limited angle, and when shank along wherein only a direction rotation time, moment of torsion is applied on pin.
Drive head can with motor driver with the use of.
Hereafter by way of example embodiments of the invention will be described by reference to the accompanying drawings, wherein:
Fig. 1 is the isometric views of bone screw.
Fig. 2 a, 2b and 2c are the isometric views of the drive end of three actuator tools, and wherein drive end has different shape of cross sections.
Fig. 3 a, 3b and 3c are respectively the end view of the drive end of the actuator tool of three shown in Fig. 2 a, 2b and 2c.
Fig. 4 a, 4b and 4c are the schematic isometric views of the head of three securing members, and described securing member has the labelling be connected with the opening of the hexagon bore hole that can receive drive head.
Fig. 5 a, 5b and 5c are respectively the end view of the drive end of the actuator tool of three shown in Fig. 4 a, 4b and 4c.
Fig. 6 a and 6b is the isometric views reversing governor motion, and described torsion governor motion can use knob respectively according to the present invention and use and can reverse drive pin and be attached in surgical instruments.
The sectional elevation of Fig. 7 a and 7b for observing through mechanism shown in Fig. 6 a and 6b.
See accompanying drawing, Fig. 1 illustrates a kind of bone screw, and it comprises the handle 101 it being formed with screw thread 102.This screw has the head 103 of increasing, and this head has the bore hole 104 extended wherein.When observing along the axle of screw, bore hole has hexagonal shape.This screw has cutting end 105.
Hexagon bore hole in screw can receive the hexagonal end of actuator tool, and described actuator tool can be used for applying moment of torsion to screw screw-driven to be entered in bone.An example of screw application is fastened on bone by hone lamella.
Fig. 2 a and Fig. 3 a is end-view and the isometric views of the drive end 2 (comprising its end face 3) of actuator tool.Drive end is arranged on the end of axle 4.Actuator tool can comprise the shank (not shown) that axle is fastened to it.Axle can be rigidly secured to shank.Described instrument can comprise ratchet mechanism, and described ratchet mechanism to guarantee that when shank rotates in one direction axle can rotate with shank and shank can rotate in the other direction independent of axle.Shank can comprise the pod for receiving axes.Pod can receive disalignment interchangeably.
The shape of the shape of cross section of the drive end 2 of driven tool and the end face 3 of driven tool is orthohexagonal shape, and wherein six tabular surfaces 6 are separated by six summits 8, and the interior angle between adjacent vertex is 120 °.
Fig. 2 b and Fig. 3 b is end-view and the isometric views of the drive end 12 (comprising its end face 13) of actuator tool.Drive end is arranged on the end of axle 14.The shape of cross section of drive end has six summits 18, and the relative position on these summits overlaps with orthohexagonal summit.Groove 20 be arranged at drive end adjacent vertex between six faces in each in.Described groove extends to the end face 13 of driven tool.The shape of cross section (it is identical with the shape of end face 13) of drive end is the shape of Magen David, and similar with the shape of the commercially available driver of selling with trade mark Torx.
Groove in the side of drive end by being formed the tabular surface execution machine process operation of the driver with hexagonal cross-sectional shape, as shown in Figure 2 a.The structure of described groove makes hexagonal all summits not by the impact of machining steps.
Fig. 2 c and Fig. 3 c is end-view and the isometric views of the drive end 22 (comprising its end face 23) of actuator tool.Drive end is arranged on the end of axle 24.The shape of cross section of drive end has six summits 28, and the relative position on these summits overlaps with orthohexagonal summit.Groove 30 be arranged at drive end adjacent vertex between six faces 26 in three in.Adjacent grooved surface is separated by the face not outputing groove, and channel shaped is formed in hexagonal " 1,3,5 " face.Described groove extends to the end face 23 of driven tool.Can see that the shape of cross section (it is identical with the shape of end face 23) of drive end has three salient angles, and similar with the Herba Trifolii Pratentis of trilobal cross.
Should be appreciated that the shape of the head of screw is not as shown in Fig. 4 a to Fig. 4 c in implementation process.Such as, the head of screw may have the overall shape shown in Fig. 1.The diagram comprising the screw head in Fig. 4 a to Fig. 4 c is to provide the information relevant with the marker characteristic structure that is connected of the feature structure of the bore hole that can use in invention components and screw head to reader.
Fig. 4 a and Fig. 5 a schematically shows the head 52 of screw by driver drives shown in Fig. 2 a or other securing members.Described head has the bore hole 54 extended to wherein, and described bore hole is at the end opening of securing member.Described bore hole limits by being arranged to orthohexagonal six summits.The size of described bore hole makes the suitable subsides in bore hole of the drive end 2 of driver shown in Fig. 2 a be slidably matched.
Fig. 4 b and Fig. 5 b schematically shows the head 62 of screw by driver drives shown in Fig. 2 b or other securing members.Described head has the bore hole 64 extended to wherein, and described bore hole is at the end face 66 place opening of securing member.Described bore hole limits by being arranged to orthohexagonal six summits.The size of described bore hole makes the suitable subsides in bore hole of the drive end 12 of driver shown in Fig. 2 b be slidably matched.Described bore hole also can receive the drive end of driver, the shape of cross section of described drive end is hexagon and all without groove (as shown in Figure 2 a) in its any, the distance wherein between hexagonal opposite face and connect first pair of adjacent vertex line and connect drive end 12 identical with distance between the line of second pair of adjacent vertex that the first pair of adjacent vertex is relative.
The end face 66 of securing member has one group of six curved section 68 be carved in wherein, and described curved section is arranged in the end perimeter of hexagon bore hole with hexagonal array.In embodiment in fig. 4b, each in curved section is centered by the corresponding summit of hexagon bore hole.Such as, but described curved section can be arranged relative to bore hole by different way, and each in curved section is centered by the corresponding face of hexagon bore hole.Described curved section is formed by mechanical engraving step.The relative face of hexagon bore hole is separated by 4mm.The degree of depth of the curved section in incision securing member end face is about 0.7mm.The layout of curved section around hexagon bore hole generates the spider lable on end face, described in be marked at the shape of the end face 13 being similar to driver shown in Fig. 2 b in appearance.Should be appreciated that the size of spider lable will be greater than the size of the star end face of driver.
Fig. 4 c and Fig. 5 c schematically shows the head 72 of screw by driver drives shown in Fig. 2 a or other securing members.Described head has the bore hole 74 extended to wherein, and described bore hole is at the end face 76 place opening of securing member.Described bore hole limits by being arranged to orthohexagonal six summits.The size of described bore hole makes the suitable subsides in bore hole of the drive end 12 of driver shown in Fig. 2 c be slidably matched.Described bore hole also can receive the drive end of driver, the shape of cross section of described drive end is hexagon and all without groove (as shown in Figure 2 a) in its any, the distance wherein between hexagonal opposite face and connect first pair of adjacent vertex line and connect drive end 12 identical with distance between the line of second pair of adjacent vertex that the first pair of adjacent vertex is relative.
The end face 76 of securing member has one group of three the rectangle line segment 78 be carved in wherein, and described rectangular lines section is positioned on the alternate edge (edge " 1,3,5 ") of hexagon bore hole 74.Described rectangle line segment is formed by mechanical engraving step.The relative face of hexagon bore hole is separated by 4mm.The degree of depth of the rectangle line segment in incision securing member end face is about 0.7mm.The layout of rectangle line segment around hexagon bore hole generates three lobe-shape labellings on end face, described in be marked at the shape of the end face 23 being similar to driver shown in Fig. 2 c in appearance.Should be appreciated that the size of three lobe-shape labellings will be greater than the size of three lobe-shape end faces of driver.
Securing member shown in Fig. 4 a to Fig. 4 c can be different from each other, such as different from each other in the lateral dimension, length, nominal torque, desired use etc. of hexagon bore hole in one or more.Engraved markings on the end face of securing member shown in Fig. 4 b and Fig. 4 c generates the impression of shaping bore hole, and wherein said indentation shape corresponds to the shape of the end face of driver shown in Fig. 2 b and Fig. 2 c.When identifying proper driver, the bore hole in the eyes fastener of user attracted, and makes labelling mean that labelling is remembered by assembly user with associating of bore hole.User can by checking that the shape of driver end face identifies the driver of the shape of cross section had corresponding to mark shape.
Fig. 6 and Fig. 7 illustrates the reversed actuator that can be attached in apparatus.Described actuator has shell 202, and described shell has the bore hole 204 extended through wherein.Axle 205 is arranged in shell.Described axle can rotate in shell.The top 206 of described axle is given prominence to from shell.The relative bottom 208 of described axle can be touched in the enclosure by bore hole 204.Described axle can be connected to another parts of apparatus in its bottom.
Described axle can rotate in shell that motion is imparted to its another parts connected.
Described axle has cylindrical part 210 in bottom end, and described cylindrical part is engaged in the bore hole of shell, and axle can be rotated in shell.Described axle has ledge 212 at its top end, and described ledge faces outer surface 214 towards shell.The mask towards shell of ledge has the multiple shallow grooves 216 be formed at wherein.The mask of the ledge 212 towards axle of shell has the spring-loaded ball bearing 218 be arranged in shallow bore hole.When rotating shaft, ball bearing is advanced in the continuous print shallow grooves in the ledge of axle.Like this, the definite ratchet stop part that be rotated through cooperation ball bearing in a groove provide of axle in shell carrys out calibration.
In the actuator shown in Fig. 6 a and Fig. 7 a, the ledge 212 of axle is formed as many salient angles cap 220, and user can clamp this many salient angles cap and rotate to make axle.Shown in Fig. 6 b and Fig. 7 b according in actuator of the present invention, the ledge 212 of axle has the hexagon bore hole 224 extended to wherein, and described bore hole can receive driver.In particular adjustments device shown in the drawings, described bore hole is simple hexagon bore hole.
Fig. 8 illustrates cutting guiding piece 250, and it has a pair breech lock 252 for another kind of apparatus being remained on appropriate location.Cut guiding piece and can be used for preparing the distal end of femur to receive the implantation parts of knee-joint prosthesis.Cutting guiding piece has the hole 253 for receiving steady pin be in a usual manner formed at wherein.Cutting guiding piece has a pair limbs 254,256, and described limbs are defined for and guide cutting blade to form the edge surface 258 of recess in femur.Each in limbs has the forming cavity 260 be formed at wherein, for engaging the projection that coordinated apparatus such as reamer conductor is shaped accordingly.Cutting guiding piece has a pair breech lock, and described breech lock can rotate between latched position and unlocked position.The first breech lock 262 in described breech lock illustrates with latched position, and the second breech lock 264 in described breech lock illustrates with unlocked position.Projection on collaborative apparatus is remained on the appropriate location in forming cavity 260 by described being latched in when being in its latched position.Each in breech lock has the hexagon bore hole 266 extended to wherein, and described bore hole can receive driver, rotates to make to be latched between its latched position and unlocked position.In particular adjustments device shown in the drawings, described bore hole is simple hexagon bore hole.

Claims (15)

1. can reverse a drive pin assembly, comprise:
A. the first driver and the second driver, each in described first driver and described second driver has drive end and opposite end, described drive end can be received in the described bore hole that can reverse in the end of drive pin, and moment of torsion can be applied at described opposite end place, each in described driver has multiple first summit at the shape of cross section at its drive end place, described multiple relative position on the first summit overlaps with the summit of regular polygon, the adjacent vertex of at least one in described driver between face in one or more there is the groove be formed at wherein, make the shape of cross section of described driver at described drive end place different from each other because providing this type of groove of varying number and/or layout,
B. first can reverse drive pin and second and can reverse drive pin, it has the bore hole extended to wherein separately, described bore hole is limited by multiple second summits being arranged to regular polygon and at an end opening, described bore hole can receive at least one in described driver, the quantity on described multiple second summit equals the quantity on described multiple first summit, described first pin and described second sell because of sell with described first and described second sell in the labelling that is connected of the opening of described polygon bore hole of at least one and different from each other, the shape wherein limited by described labelling corresponds to the shape of cross section of the corresponding one in described first driver and described second driver.
2. according to claim 1ly reverse drive pin assembly, the described labelling at least one in wherein said pin limits the variform shape with the described bore hole in described pin.
3. reverse drive pin assembly according to according to claim 1 or claim 2, wherein said first can reverse drive pin and described second can be reversed the one in drive pin or the described labelling in each and formed by the surperficial removing materials from the described pin around the described opening of described bore hole.
4. according to claim 3ly reverse drive pin assembly, wherein said labelling is formed by carving.
5., according to claim 3 or according to claim 4ly reverse drive pin assembly, wherein said labelling uses laser and is formed.
6. the reversed drive pin assembly according to any one of claim 3 to 5, wherein said labelling is at least about 0.3mm lower than the degree of depth can reversing the surface of drive pin described in around described bore hole.
7. the reversed drive pin assembly according to any one of claim 3 to 6, wherein said labelling is no more than about 5.0mm lower than the degree of depth can reversing the surface of drive pin described in around described bore hole.
8. the reversed drive pin assembly according to any one of claim 3 to 7, described in region around the described opening that wherein said labelling is arranged at hexagon bore hole is reversed on drive pin, and described labelling is radially positioned at outside the straight line of the adjacent vertex connecting described bore hole.
9. securing member according to any one of claim 1 to 8, each in wherein said driver has six summits at the shape of cross section at its drive end place, and the relative position on described summit overlaps with orthohexagonal summit.
10. according to any one of claim 1 to 9ly reverse drive pin assembly, the described groove making described driver different from each other formed in the one in wherein said driver or each extends to the described drive end of described driver.
11. according to any one of claim 1 to 10ly reverse drive pin assembly, and the lateral dimension of the polygon drive end of wherein said first driver is different from the lateral dimension of the polygon drive end of described second driver.
12. reversed drive pin assemblies according to any one of claim 1 to 11, wherein said first can reverse drive pin and described second, and can to reverse drive pin be securing member.
13. according to claim 12ly reverse drive pin assembly, and each in wherein said securing member has external screw thread.
14. reversed drive pin assemblies according to any one of claim 1 to 11, the wherein said at least one reversed in drive pin is the spindle unit of apparatus or device.
15. 1 kinds for operating external member, described external member comprises orthopaedic implants and the assembly of the reversed drive pin according to any one of claim 1 to 14, and described orthopaedic implants is formed with at least one bore hole wherein can reverse drive pin for reception.
CN201380066032.5A 2012-12-17 2013-12-17 One kind can reverse driving pin assemblies Active CN105007849B (en)

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GBGB1222688.2A GB201222688D0 (en) 2012-12-17 2012-12-17 A twist-drivable pin assembly
PCT/US2013/075724 WO2014099954A1 (en) 2012-12-17 2013-12-17 A twist-drivable pin assembly

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US11071574B2 (en) 2021-07-27
US20190209219A1 (en) 2019-07-11
GB201222688D0 (en) 2013-01-30
WO2014099954A1 (en) 2014-06-26
CN105007849B (en) 2018-07-31
AU2013362958B2 (en) 2018-05-17
EP2931156A1 (en) 2015-10-21
EP2931156B1 (en) 2016-09-28
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US20150335368A1 (en) 2015-11-26
AU2013362958A1 (en) 2015-07-16

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